Search › Minnesota › 363A00000X
Shosty Roth, PA-C
NPI 1740511831 · on the registry since 2010
Practice
- Address
- 2215 S 6th St
Brainerd, MN 56401 - Phone
- (218) 454-1010
- Organisation at this address
- Valhalla Place Brainerd Llc
Prs Transportation Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota